SearchNew YorkPsychiatric/Mental Health Nurse Practitioner

Fairy Laine Manzano

NPI 1417572173 · on the registry since 2020 · sole proprietor

Practice

Address
20 Exeter Ave
Lynbrook, NY 11563
Phone
(347) 351-2454

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163WP0808X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York